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Obstetrics & Gynecology 2000;95:19-23
© 2000 by The American College of Obstetricians and Gynecologists
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ORIGINAL RESEARCH

Complementary and Alternative Medicine in Pregnancy: A Survey of North Carolina Certified Nurse-Midwives

ALEXANDER D. ALLAIRE, MD, MSPH, MERRY-K MOOS, FNP, MPH and STEVEN R. WELLS, MD

From the Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology; and Department of Maternal and Child Health, School of Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Address reprint requests to: Alexander D. Allaire, MD, MSPH, 214 MacNider, CB# 7570, Chapel Hill, NC 27599, E-mail: allaire{at}med.unc.edu

Objective: To determine the prevalence and types of complementary and alternative medicine therapies used by certified nurse-midwives in North Carolina.

Methods: Surveys were sent to all 120 licensed certified nurse-midwives in North Carolina requesting information concerning their recommendations for use of complementary and alternative medicine for their pregnant or postpartum patients.

Results: Eighty-two responses were received (68.3%). Seventy-seven (93.9%) reported recommending complementary and alternative medicine to their pregnant patients in the past year. Forty-seven (57.3%) reported recommending complementary and alternative medicine to more than 10% of patients. The percentage of nurse-midwives who recommended each type of complementary and alternative medicine was as follows: herbal therapy (73.2%), massage therapy (67.1%), chiropractic (57.3%), acupressure (52.4%), mind-body interventions (48.8%), aromatherapy (32.9%), homeopathy (30.5%), spiritual healing (23.2%), acupuncture (19.5%), and bioelectric or magnetic applications (14.6%). The 60 respondents who reported prescribing herbal therapies gave them for the following indications: nausea and vomiting, labor stimulation, perineal discomfort, lactation disorders, postpartum depression, preterm labor, postpartum hemorrhage, labor analgesia, and malpresentation.

Conclusion: Complementary and alternative medicine, especially herbal therapy, is commonly prescribed to pregnant women by nurse-midwives in North Carolina.




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